Who should I talk to about Medicare?
Topics include:
- Claims & billing
- Complaints about my care or services
- General health & health conditions
- Health care facilities & services in my area
- Help with my Medicare options & issues
- Medicare Diabetes Prevention Program
- Opioid Treatment Program Services
- Other insurance programs
- Other resources
What is the phone number to contact Medicare?
What is the Medicare Phone Number?
- “Claim service” or press “1”
- “Coverage and benefits” or press “2”
- “Premium payments” or press “3”
- “Preventive exams” or press “4”
- “Deductible” or press “5”
- “Help me with something else” or press “6”
- “Agent” or press “0” (zero)
Why does Medicare keep calling me?
- Don’t answer calls from unknown numbers. If you receive a call from a number you haven’t saved to your contacts, or if your caller ID says “unknown,” don’t pick up ...
- When in doubt, hang up. If you do answer a call from an unsolicited caller and are greeted by a robocall or even a person who claims to be with ...
- Know how government agencies work. ...
Who to contact, social security or Medicare?
- Find the address of your local Social Security office
- Request a form SS-5, Application for a Social Security Card, to:
- apply for an original Social Security card or a replacement card if yours was lost or stolen,
- request a name change on your card, or
- update or correct other information on your Social Security number record.
Phone
For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
1-800-MEDICARE (1-800-633-4227)
For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.
What hours can I call Medicare?
Beneficiaries may call 1-800-MEDICARE 24 hours per day, seven days per week to get help with coverage, claims, payments and more in both English and Spanish. The hearing impaired may call 1-877-486-2048.
What are private Medicare plans?
There are three types of private Medicare plan options that may be available to Medicare beneficiaries.
When can I enroll in a Medicare Advantage plan?
There are only certain times of the year in which you may enroll in a Medicare Advantage plan.
What is the number to call Medicare?
1-800-MEDICARE (1-800-633-4227) is the official Medicare phone number that beneficiaries may call for help with their coverage, claims, payments and more. You may call 24 hours a day, 7 days per week, ...
What to call Medicare before calling?
Before you call the Medicare phone number. Before calling 1-800-MEDICARE, have your Medicare card ready in case the representative needs to know your Medicare number. If you are calling with a question about a claim or a bill, have the bill or the Explanation of Benefits (EOB) handy for reference.
How much is Medicare Part A deductible?
The Medicare Part A deductible is $1,364 per benefit period in 2019. The deductible for Medicare Part B is $185 per year for 2019. Deductibles for Medicare Advantage and Medicare Part D plans will vary from one plan to the next and can change every year.
How to contact Medicare for lost card?
1-800-MEDICARE and press “ 0 ”. or say “ Help me with something else ”. or press “ 6 ”. or say “ Agent ”. Replacing a lost Medicare card. 1-800-772-1213. Medicare questions for the hearing impaired. 1-877-486-2048. Social Security.
How to check Medicare claim status?
While you can always call Medicare to check on a Medicare claim status, you can also do so by visiting MyMedicare.gov. You will need to set up an account for the website, which will allow you to access certain information about your Medicare coverage: 1 You can check the status of any Medicare Part A or Part B claim, usually within 24 hours after the claim is processed. 2 You can check your Medicare Summary Notice (MSN), which shows all of your Medicare coverage and billing activity for the previous three months. 3 You can download and save your Medicare Part A and Part B claims information.
What is Medicare Part A and Part B?
Medicare Part A and Part B (also call Original Medicare) cover a wide range of services, so it’s understandable why so many beneficiaries call 1-800-MEDICARE with questions about whether or not a particular service or health care product will be covered by Original Medicare.
What happens if you call Medicare about a denied claim?
If you say “yes,” you will be routed to a representative who will help you with your claim.
How to speak to a Medicare agent?
In order to speak to an agent, you must say the word “agent”, or press the zero key. You may have to wait for one to five minutes before an agent comes on the line. Do not hang up until someone answers. The customer service menu for the Medicare helpline is below.
What is the number for Medicare?
The TTY number is 1-877-486-2048. Before you make your call, you should jot down your questions and have your Medicare identification number at hand. Your call is mechanically answered, and the speaker gives you the menu of options.
What is the number to call for Social Security?
For people who have hearing or speech impairments the number to call is 1-877-468-2048, also listed as the TTY number. You can speak to a representative at the Social Security Administration to make an appointment with an agent at your local Social Security office by phoning their official toll-free number 1-800-772-1213.
What to do if you suspect fraud on Medicare?
If you suspect fraudulent use of your Medicare insurance benefits because of identity theft, you should contact someone right away. In instances where you suspect that a health care provider has made a billing error, or if you have not received the services you have been billed for, you may have to call Medicare.
What to ask before calling a medical provider?
Before calling, you should call the provider and ask about the charge that you do not agree on. It could simply be an oversight that can be fixed by them. You may also prefer to speak with an agent if you have specific billing questions, questions about claims, or expenses. You may also need to discuss medical records.
Can the SSA call you to tell them your information?
Neither CMS, nor the SSA will ever call and ask you to tell them your personal information. These agencies know your identification numbers and will only ask you to confirm them. If someone calls you and says they need your information, hang up and call the agency directly using their official phone numbers.
What to do if you have problems enrolling in Medicare Advantage?
If you’re having problems enrolling in Medicare Advantage or Part D – and you think it’s due to incorrect information, you may have to contact the plan insurer, your broker or Social Security to clear the issue up.
What to do if Medicare Advantage is denied?
If you’re having problems enrolling in Medicare Advantage or Part D – and you think it’s due to incorrect information, you may have to contact the plan insurer, your broker or Social Security to clear the issue up. If your MA or Part D plan denies coverage of your medical services or a medication, you can appeal to your insurer.
Get Your Information Ready
Before you call Medicare, you'll need your Medicare number, so make sure you have your red, white, and blue Medicare card ready. If you don't have a card, you can request or print a new one through your MyMedicare.gov account.
When Should You Call 1-800-MEDICARE?
There are a number of reasons you may wish to speak to a Medicare representative. You may wish to call Medicare to:
Can Someone Else Call Medicare For You?
Yes, if you have authorized them to speak with Medicare on your behalf. You must perform this authorization first, as federal law prohibits anyone from Medicare sharing your personal health information with anyone but you.
The 1-800-MEDICARE Menu Options
It may be easier to prepare for your Medicare call if you know what your menu options are.
Other Ways to Contact Medicare
If you prefer to conduct your business in writing, you may mail questions, completed forms, and other documents to Medicare at:
What is Medicare reporting?
Reporting Other Health Insurance. If you have Medicare and other health insurance or coverage, each type of coverage is called a "payer.". When there is more than one payer, "coordination of benefits" rules decide which one pays first. The "primary payer" pays what it owes on your bills first, and then sends the rest to the "secondary payer" to pay.
How to ensure correct payment of Medicare claims?
To ensure correct payment of your Medicare claims, you should: Respond to Medicare Secondary Claim Development Questionnaire letters in a timely manner. Tell the BCRC about any changes in your health insurance due to you, your spouse, or a family member’s current employment or coverage changes.
What is the insurance that pays first called?
The insurance that pays first is called the primary payer . The primary payer pays up to the limits of its coverage. The insurance that pays second is called the secondary payer. The secondary payer only pays if there are costs the primary insurer didn't cover.
What is a COB in Medicare?
The Medicare Coordination of Benefits (COB) program wants to make sure Medicare pays your claims right the first time, every time. The Benefits Coordination & Recovery Center (BCRC) collects information on your health care coverage and stores it in your Medicare record.
Is Medicare a secondary payer?
You. Medicare may be your secondary payer. Your record should show whether a group health plan or other insurer should pay before Medicare. Paying claims right the first time prevents mistakes and problems with your health care plans. To ensure correct payment of your Medicare claims, you should:
